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Do my HBV blood results merit start of viral treatment
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Do my HBV blood results merit start of viral treatment

I am an Asian female of 57  years old. I have had chronic HBV for more than 10 years now. My latest blood test results done in July 2011 were: AST:34, ALT:31 and viral load of 2.74 X 10000 or 10 to the 4th power. I am H BeAg negative.
I have been taking milk thistle and phospatidyl choline for liver support.

Do I need to start treatment given the above results?
Thank you very much for your anticipated insights.

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517301_tn?1229801385
absolutely you should begin treatment with this viral load.  there is a good chance you may have had the virus a lot longer than 10 years and that you have scarring in the liver despite the normal liver tests.  I would recommend checking a HBV genotype as some genotypes such as C are more associated with the development of liver cancer and decompensated liver disease.
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517301_tn?1229801385
Thomas D Schiano, MDBlank
The Mount Sinai Medical Center
New York, NY
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